Scheffold N, Paoli A, Gross J, Riemann U, Hennersdorf M
Medizinische Klinik I, Klinikum Memmingen, Bismarkstraße 23, Memmingen, Germany.
Med Klin Intensivmed Notfmed. 2012 Oct;107(7):553-7. doi: 10.1007/s00063-012-0110-5. Epub 2012 Jun 7.
Ethical problems, such as medical end-of-life decisions or withdrawing life-sustaining treatment are viewed as an essential task in intensive care units. This article presents the ethics rounds as an instrument for evaluation of ethical problems in intensive care medicine units. The benchmarks of ethical reflection during the ethics rounds are considerations of ethical theory of principle-oriented medical ethics. Besides organizational aspects and the institutional framework, the role of the ethicist is described. The essential evaluation steps, as a basis of the ethics rounds are presented. In contrast to the clinical ethics consultation, the ethicist in the ethics rounds model is integrated as a member of the ward round team. Therefore ethical problems may be identified and analyzed very early before the conflict escalates. This preventive strategy makes the ethics rounds a helpful instrument in intensive care units.
诸如医疗临终决策或停止维持生命治疗等伦理问题，被视为重症监护病房的一项重要任务。本文介绍了伦理查房，将其作为评估重症监护医学科伦理问题的一种手段。伦理查房期间伦理反思的基准是基于原则的医学伦理理论的考量。除了组织方面和制度框架外，还描述了伦理学家的角色。介绍了作为伦理查房基础的基本评估步骤。与临床伦理咨询不同，伦理查房模式中的伦理学家作为查房团队的一员融入其中。因此，伦理问题在冲突升级之前就能很早就被识别和分析。这种预防策略使伦理查房成为重症监护病房中一种有用的手段。
